Dr Clark Dale Gaddy, MD - Medicare Urology in Gainesville, FL

Dr Clark Dale Gaddy, MD is a medicare enrolled "Urology" physician in Gainesville, Florida. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Urology. He is a member of the group practice Simedhealth Llc and his current practice location is 1179 Nw 64th Ter, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 333-5400.

Dr Clark Dale Gaddy is licensed to practice in Florida (license number ME0048155) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528092061.

Contact Information

Dr Clark Dale Gaddy, MD
1179 Nw 64th Ter,
Gainesville, FL 32605-4218
(352) 333-5400
(352) 333-5404



Physician's Profile

Full NameDr Clark Dale Gaddy
GenderMale
SpecialityUrology
Experience44 Years
Location1179 Nw 64th Ter, Gainesville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Clark Dale Gaddy graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1528092061
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 12/09/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 7911904206
  • Enrollment ID: I20061030000315

Medical Identifiers

Medical identifiers for Dr Clark Dale Gaddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528092061NPI-NPPES
043860000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology ME0048155 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Simedhealth Llc660813705482

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Clark Dale Gaddy allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Integrated Medical Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871573949
PECOS PAC ID: 4981697216
Enrollment ID: O20040405000448

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Entity NameSimedhealth Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639680127
PECOS PAC ID: 6608137054
Enrollment ID: O20180227000525

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clark Dale Gaddy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Clark Dale Gaddy, MD
4881 Nw 8th Ave, Suite 2,
Gainesville, FL 32605-4582

Ph: (352) 373-6338
Dr Clark Dale Gaddy, MD
1179 Nw 64th Ter,
Gainesville, FL 32605-4218

Ph: (352) 333-5400

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Urology Doctors in Gainesville, FL

Dr. Perinchery Narayan, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3426 Nw 43rd St, Suite B, Gainesville, FL 32606
Phone: 352-338-2089    Fax: 352-338-1415
Romano Demarco, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0301    Fax: 352-265-0627
Dr. Victoria Yvonne Bird, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608
Phone: 305-804-7461    
Li-ming Su, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-6815    Fax: 352-273-7515
Dr. Lawrence Luen Shean Yeung, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-6815    
Cynthia A. Sharadin, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 1549 Gale Lemerand Dr, Gainesville, FL 32610
Phone: 352-265-8250    Fax: 352-265-0730
Dr. Vincent Gerard Bird, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-6815    Fax: 352-273-7515

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